Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | NY | |
N | 103T00000X | Psychologist | NY | |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | NY | |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | NY | |
N | 103TF0000X | Family Psychologist | NY | |
N | 103TM1800X | Intellectual & Developmental Disabilities | NY | |
N | 103TP0814X | Psychoanalysis | NY | |
N | 103TS0200X | School Psychologist | NY |
NPI | 1265598338 |
---|---|
Provider Name | Dr. Robert J Drago |
First Address | Williston Park, NY 11596-2347 |
Second Address | Williston Park, NY 11596-2347 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2006 |
Last Update Date | 08/07/2007 |